Active NPI
Hidehiko Watanabe, DDS, MS
- Dentist
- Lincoln, NE
National Provider Identifier
1487784989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107
- Practice address
- College of Dentistry
40TH and Holdrege STS. RM 137
Lincoln, NE 68583-0740 - Phone
- (402) 472-8900
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107 | NE | Primary |
Addresses
Primary practice location
College of Dentistry
40TH and Holdrege STS. RM 137
Lincoln, NE 68583-0740
Mailing address
College of Dentistry
40TH and Holdrege STS. RM 137
Lincoln, NE 68583-0740
Phone (402) 472-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-078998500 | Medicaid | NE | |
| 4605 | Other | NE | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1487784989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLLEGE OF DENTISTRY",
"address_2": "40TH AND HOLDREGE STS. RM 137",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-472-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLLEGE OF DENTISTRY",
"address_2": "40TH AND HOLDREGE STS. RM 137",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-472-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATANABE",
"first_name": "HIDEHIKO",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-078998500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "4605",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.